Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Wallace, HOMEHEATHAIDE

Individual provider Home Health Aide · NPI 1750757340

Shannon Wallace, HOMEHEATHAIDE is a Home Health Aide in Lakeland, Florida. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

636 Candyce Ave
Lakeland, FL 33815-1202
Phone: (863) 614-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1750757340
Entity typeIndividual (Type 1)
GenderFemale
Credentials HOMEHEATHAIDE
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 18, 2015

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